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NPI 1588464416

NPI 1588464416 : CAMERON GEORGE : WILMINGTON, DE

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General NPI Number Information
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    NPI Number           |    1588464416
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    Entity Type          |    Individual 
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    Provider Name        |    CAMERON GEORGE
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/18/2025
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    Last Update Date     |    03/18/2025
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Provider Practice Location Address
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    Address Line         |    4023 KENNETT PIKE # 988 
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    City                 |    WILMINGTON
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    State                |    DE
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    Zip                  |    19807-2018
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    Country              |    US
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    Telephone            |    484-577-9928
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    355 LOFTLAND DR 
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    City                 |    DOVER
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    State                |    DE
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    Zip                  |    19904-5945
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    Country              |    US
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    Telephone            |    302-382-0768
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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    License Number       |    
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    License Number State |    
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